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Womens Midlife Health. 2015 Oct 05;1:7. doi: 10.1186/s40695-015-0008-5. eCollection 2015.

Confronting the challenges of the menopausal transition.

Women's midlife health

Robert L Reid, Bryden A Magee

Affiliations

  1. Division of Reproductive Endocrinology and Infertility, Queen's University, Kingston, Ontario K7L 4 V1 Canada.

PMID: 30766694 PMCID: PMC6297993 DOI: 10.1186/s40695-015-0008-5

Abstract

Canada's Generation X is now entering the menopausal transition and pursuing effective therapy for bothersome vasomotor symptoms. They do so at a time when confusion about the safe and appropriate use of menopausal hormone therapy (MHT) has never been greater. Misplaced fears among women and their health care providers about MHT have, in many circumstances, led them to abandon this most effective therapy. This review discusses the physiology of the menopausal transition, the nature of symptoms related to withdrawal of ovarian estrogen production, and the potential benefits and risks of MHT. It is now clear that for most recently menopausal women the benefits of MHT outweigh the risks. The rationale for choosing different dosages, formulations, and regimens is reviewed.

Keywords: Menopausal hormone therapy; Menopause; Vasomotor symptoms

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